How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $123.03 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $21.38 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $112.20 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $25.70 | $138.04 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $22.91 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $114.82 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,288.25 Typical High $3,090.30 | Facility | None | $512.86 | $1,288.25 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $537.03 | Professional | None (both parts) | $72.44 | $120.23 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $91.20 | Professional | 26 · Professional part | $17.78 | $20.89 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $102.33 Typical High $446.68 | Professional | TC · Technical part | $51.29 | $102.33 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $323.59 | Professional | None | $138.04 | $147.91 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $190.55 Typical High $426.58 | Professional | None (both parts) | $58.88 | $190.55 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $13.80 | $30.20 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $44.67 | $154.88 | $354.81 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $26.92 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $107.15 | $107.15 |
Where Washington, DC sits
The same service costs 4.1 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington, DC· 34th of 51
$135
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.